An Open-label Controlled Trial: Effectiveness of Balneotherapy in Palmoplantar Psoriasis and Contact Dermatitis.

NCT ID: NCT06458868

Last Updated: 2024-12-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-01

Study Completion Date

2023-10-01

Brief Summary

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Patients who had an indication for phototherapy were included in this study. The treatment was used as a monotherapy protocol.

The standard protocol for bathing PUVA involved applying 0.01% bath psoralen for 15 minutes, while the tap water group only received a tap water bath for 15 minutes and the salt water group received 3% salted (NaCl) water before UVA treatment.

Main tools to assess the efficacy is disease activity scores and quaity of Life scores.

Detailed Description

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Patients who met the criteria for phototherapy were included in this study. The treatment was used as a standalone protocol, with only moisturizer permitted. In order to participate, patients needed to have completed their last systemic treatment at least 2 months prior to the study, and their last topical treatment at least 4 weeks prior.

Patients were randomized using a computer program and assessed at the beginning of therapy, as well as after 12, 24, and 36 sessions. The standard bath-PUVA protocol involved applying 0.01% bath psoralen for 15 minutes, while the tap water group only received a tap water bath for 15 minutes, and the salt water group received a 3% salt water bath before UVA exposure.

All patients were educated about their condition and current treatment options. Patients who participated in this study either had contraindications to other therapies or had experienced side effects previously.

The initial UVA dosage was 0.25 J/cm2, gradually increasing to a maximum of 5 J/cm2. During each evaluation, patients were assessed using various scales and tools to measure the severity of their psoriasis and their quality of life, as well as photographs.

Following a pilot study involving 5 patients in each group, a two score reduction in the disease activity score revealed that G power analysis determined that a total of at least 13 patients was needed to achieve 80% power. Ethical approval was obtained before commencing the study.

Conditions

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Psoriasis Contact Dermatitis of Hand

Keywords

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bath puva uva psorolene phototherapy local uv a

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective single center open label three parallel group, adaptive randomized controlled trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Endpoint assessors blinded

Study Groups

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bath puva

Patients received the standard protocol of bath PUVA with standard psoralen plus tap water in combination with a phototherapy regimen.

Group Type NO_INTERVENTION

No interventions assigned to this group

salt water uva

Patients received saline solution (3% NaCl) in addition to UVA with standard phototherapy regimen.

Group Type EXPERIMENTAL

salt water or tap water before UVA

Intervention Type OTHER

Instead of using standard bath PUVA, this study investigates the efficacy of tap water or salt water with UVA in the treatment of palmoplantar psoriasis.

tap water uva

Patients received tap water in addition to UVA with standard phototherapy regimen.

Group Type EXPERIMENTAL

salt water or tap water before UVA

Intervention Type OTHER

Instead of using standard bath PUVA, this study investigates the efficacy of tap water or salt water with UVA in the treatment of palmoplantar psoriasis.

Interventions

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salt water or tap water before UVA

Instead of using standard bath PUVA, this study investigates the efficacy of tap water or salt water with UVA in the treatment of palmoplantar psoriasis.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Individuals aged between 18 and 65
* Clinical diagnosis of Palmoplantar Psoriasis or Contact Dermatitis

Exclusion Criteria

* Individuals under 18 or over 65
* Pregnancy or breastfeeding
* History of malignancy
* Diagnosis of photodermatosis
* Prescription or use of photoallergenic or phototoxic drugs
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ankara University

OTHER

Sponsor Role lead

Responsible Party

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Hilayda Karakok Kısla

Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nihal Kundakcı, Prof

Role: STUDY_DIRECTOR

Ankara University Faculty of Medicine, Department of Dermatology and Venereology

Locations

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Ankara University School of Medicine

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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BALNEOTERAPİ

Identifier Type: -

Identifier Source: org_study_id